Sunday, October 1, 2023 10/1/2023

ASSIST - Address Self-Management Strategies to Improve and Sustain T2D outcomes for adults with comorbid chronic pain and type 2 diabetes in the South

Award Number: U01HL146382
ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE
OPDIV: NIH
AWARD CLASS: COOPERATIVE AGREEMENT
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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PROJECT SUMMARY Rural communities are laden with high rates of multiple syndemic health conditions, contributing to an excess burden of disease. This is particularly salient in the Southern regions of the Appalachia and Mississippi Delta regions, where there is a high proportion of underserved groups (e.g., rural dwellers), and underlying social (e.g., income, education, housing), and environmental (e.g., food deserts, green space/safe spaces, access to primary health care services) risk factors, which may increase the likelihood of developing chronic diseases, such as diabetes and other health conditions. Chronic pain, a persistent or recurring pain that lasts more than three months, is a common condition among U.S. adults that negatively impacts quality of life, wellbeing, and causes considerable economic burdens. This condition has a complex etiology, impacts physical and emotional function, and has a varied approach to treatment and management. Approximately 34 million Americans have diabetes, and approximately 50-70% of the U.S. adult population with diabetes also suffer from chronic pain. Diabetes, a metabolic disorder characterized by high levels of blood glucose, may cause serious damage to the heart, blood vessels, eyes, kidneys, and nerves. The co-occurrence of chronic pain and type 2 diabetes is marked by decreased physical function, lower quality of life, and depression, which may increase the onset of heart disease, stroke, as well as exacerbate other risk factors such as high blood pressure or high cholesterol. Ample evidence suggests treatment and self-management strategies (e.g., glucose monitoring, diet, exercise) for diabetes are effective with proper adherence to recommended guidelines. However, managing chronic pain and diabetes can undermine a person's ability to engage in recommended diabetes self-management activities as it often leads to elevated blood glucose levels. Technology has the potential to support self-management strategies and reduce health disparities for rural dwellers, but only if designed for the specific and unique needs of the community. Therefore, the proposed project will examine the psychological factors, psychosocial risk, and resilience factors associated with premature morbidity and mortality of comorbid diabetes and chronic pain in the rural South, with the goal of improving type 2 diabetes outcomes (e.g., glycemic control, quality of life, and preventing or reducing diabetes complications). Additionally, we will examine the utility and the potential leveraging power of technology (i.e., wearable activity monitors) to further examine barriers and facilitators to self-management strategies and general health promoting behaviors among rural dwellers in the South.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $6,236,851 )
2023	2023	UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER OF SAN ANTONIO	7703 FLOYD CURL DR	SAN ANTONIO	TX	78229	BEXAR	USA	Cardiovascular Diseases Research	006	5	4/4/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$3,431,837
2023	2023	UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER OF SAN ANTONIO	7703 FLOYD CURL DR	SAN ANTONIO	TX	78229	BEXAR	USA	Cardiovascular Diseases Research	008	6	8/31/2023	SUPPLEMENT FOR EXPANSION	$229,486
2023	2023	UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER OF SAN ANTONIO	7703 FLOYD CURL DR	SAN ANTONIO	TX	78229	BEXAR	USA	Cardiovascular Diseases Research	007	6	4/27/2023	NON-COMPETING CONTINUATION	$6,007,365
2023	2023	UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER OF SAN ANTONIO	7703 FLOYD CURL DR	SAN ANTONIO	TX	78229	BEXAR	USA	Cardiovascular Diseases Research	001	5	2/23/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$2,935,439
2023	2022	TRUSTEES OF BOSTON UNIVERSITY	85 EAST NEWTON ST # M-921	BOSTON	MA	02118	SUFFOLK	USA	Cardiovascular Diseases Research	004	4	4/4/2023	NON-COMPETING CONTINUATION	-$2,935,439
2023	2022	TRUSTEES OF BOSTON UNIVERSITY	85 E NEWTON ST M-921	BOSTON	MA	02118	SUFFOLK	USA	Cardiovascular Diseases Research	000	4	2/22/2023	NON-COMPETING CONTINUATION	-$2,935,439
2023	2022	TRUSTEES OF BOSTON UNIVERSITY	85 EAST NEWTON ST # M-921	BOSTON	MA	02118	SUFFOLK	USA	Cardiovascular Diseases Research	005	4	4/4/2023	SUPPLEMENT FOR EXPANSION	-$49,995
2023	2021	TRUSTEES OF BOSTON UNIVERSITY	85 EAST NEWTON ST # M-921	BOSTON	MA	02118	SUFFOLK	USA	Cardiovascular Diseases Research	003	3	4/4/2023	SUPPLEMENT FOR EXPANSION	-$6,218
2023	2021	TRUSTEES OF BOSTON UNIVERSITY	85 EAST NEWTON ST # M-921	BOSTON	MA	02118	SUFFOLK	USA	Cardiovascular Diseases Research	002	3	4/4/2023	NON-COMPETING CONTINUATION	-$440,185


Issue Date FY: 2022 ( Subtotal = $5,920,873 )
2022	2022	TRUSTEES OF BOSTON UNIVERSITY	85 E NEWTON ST M-921	BOSTON	MA	02118	SUFFOLK	USA	Cardiovascular Diseases Research	002	4	9/15/2022	SUPPLEMENT FOR EXPANSION	$49,995
2022	2022	TRUSTEES OF BOSTON UNIVERSITY	85 E NEWTON ST M-921	BOSTON	MA	02118	SUFFOLK	USA	Cardiovascular Diseases Research	001	4	8/10/2022	NON-COMPETING CONTINUATION	$5,870,878
2022	2021	TRUSTEES OF BOSTON UNIVERSITY	85 E NEWTON ST M-921	BOSTON	MA	02118	SUFFOLK	USA	Cardiovascular Diseases Research	000	3	1/7/2022	NON-COMPETING CONTINUATION	$0


Issue Date FY: 2021 ( Subtotal = $5,938,476 )
2021	2021	TRUSTEES OF BOSTON UNIVERSITY	85 E NEWTON ST M-921	BOSTON	MA	02118	SUFFOLK	USA	Cardiovascular Diseases Research	001	3	6/14/2021	NON-COMPETING CONTINUATION	$5,855,758
2021	2021	TRUSTEES OF BOSTON UNIVERSITY	85 E NEWTON ST M-921	BOSTON	MA	02118	SUFFOLK	USA	Cardiovascular Diseases Research	002	3	6/18/2021	SUPPLEMENT FOR EXPANSION	$32,939
2021	2021	TRUSTEES OF BOSTON UNIVERSITY	85 E NEWTON ST M-921	BOSTON	MA	02118	SUFFOLK	USA	Cardiovascular Diseases Research	000	2	2/19/2021	SUPPLEMENT FOR EXPANSION	$49,779


Issue Date FY: 2020 ( Subtotal = $8,975,382 )
2020	2020	TRUSTEES OF BOSTON UNIVERSITY	85 E NEWTON ST M-921	BOSTON	MA	02118	SUFFOLK	USA	Cardiovascular Diseases Research	002	2	7/30/2020	SUPPLEMENT FOR EXPANSION	$2,699,970
2020	2020	TRUSTEES OF BOSTON UNIVERSITY	85 E NEWTON ST M-921	BOSTON	MA	02118	SUFFOLK	USA	Cardiovascular Diseases Research	000	2	6/26/2020	NON-COMPETING CONTINUATION	$6,125,446
2020	2020	TRUSTEES OF BOSTON UNIVERSITY	85 E NEWTON ST M-921	BOSTON	MA	02118	SUFFOLK	USA	Cardiovascular Diseases Research	001	2	7/24/2020	SUPPLEMENT FOR EXPANSION	$149,966


Issue Date FY: 2019 ( Subtotal = $3,323,048 )
2019	2019	TRUSTEES OF BOSTON UNIVERSITY	85 E NEWTON ST M-921	BOSTON	MA	02118	SUFFOLK	USA	Cardiovascular Diseases Research	000	1	5/2/2019	NEW	$3,323,048


Grand Total All Awards = $30,394,630

Sum of Action Amount is $30,394,630;

Grand Total = $30,394,630

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ASSIST - Address Self-Management Strategies to Improve and Sustain T2D outcomes for adults with comorbid chronic pain and type 2 diabetes in the South

Award Number: U01HL146382

ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE

OPDIV: NIH

AWARD CLASS: COOPERATIVE AGREEMENT

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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